NPI | 1386066777 |
---|---|
Entity Type | Organization |
Authorized Contact | GRACE RIVERA Owner 973-865-6410 |
Organization Subpart ? | No |
Primary Taxonomy | 103K00000X Behavior Analyst |
Additional Taxonomies | 103K00000X Behavior Analyst (Licence: 0-04-1518) |
235Z00000X Speech-Language Pathologist, | |
251S00000X | |
Enumeration Date | 2014-01-20 |
Last Update Date | 2023-03-07 |